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首页> 外文期刊>BMC Psychiatry >Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only
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Mindfulness for children with ADHD and Mindful Parenting (MindChamp): Protocol of a randomised controlled trial comparing a family Mindfulness-Based Intervention as an add-on to care-as-usual with care-as-usual only

机译：对于具有adhd和Mindful的父母的儿童（Mindchamp）：随机对照试验的协议将基于家族态度的干预进行比较，作为加载项，以便仅与常规进行照顾

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Self-control in childhood has been linked to long-term and cascading effects on health, academic, criminality, wealth and parenting outcomes. Hence it is important to target self-control deficits early in life. Self-control deficits are a hallmark of Attention Deficit/Hyperactivity Disorder (ADHD). Even after receiving care-as-usual (CAU) for ADHD, impaired self-control often remains. Pharmacotherapy can be hampered by side-effects, low adherence and short-term effectiveness. Other limitations of CAU are decreased effectiveness when parents have ADHD and little effect on parental well-being. Mindfulness-Based Interventions (MBIs) are an emerging non-pharmacological approach with potential to improve self-control and well-being in both children and parents. However, there is a lack of sufficiently powered randomised controlled trials (RCTs) to establish their effects in families with ADHD. This study protocol describes an RCT to investigate the effectiveness of a family MBI as an add-on to CAU in treatment of youth with ADHD, and is described in accordance with Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT). An RCT will be conducted in N?=?100 children (aged 8-16?years) with ADHD and their parents. The experimental condition will consist of a family MBI (MYmind): 8-week group-based MBI for youth combined with parallel group-based Mindful Parenting for their parents, as an add-on to CAU. The control condition will consist of CAU-only. Assessments will take place at baseline, end of treatment (3?months later), 2 and 6?months' follow-up. Primary outcome measure will be an ecologically valid assessment of child self-control with the parent-rated Behaviour Rating Inventory of Executive Function (BRIEF). Secondary child outcome measures will be teacher-rated BRIEF, computerised self-control tasks and questionnaires on psychological symptoms (e.g. ADHD, symptoms of autism), well-being and mindfulness. For parental outcomes, secondary measures will be self-rated BRIEF, computerised self-control tasks and questionnaires on psychological symptoms, well-being and mindful parenting. The proposed RCT will take account of methodological limitations of previous studies on MBIs in child ADHD populations. The current study will provide valuable information on family MBI as a potential effective intervention in targeting self-control deficits for youth with ADHD and their parents. ClinicalTrials.gov NCT03220308 . Retrospectively registered 18 July 2017.
机译：童年的自我控制已与长期和对健康，学术，刑事，财富和育儿结果的影响。因此，在生命期间瞄准自我控制赤字很重要。自我控制赤字是注意力缺陷/多动障碍（ADHD）的标志。即使在接受诉讼的常规（CAU）后，仍然存在受损的自我控制。药物疗法可以通过副作用，低粘附和短期效果受到阻碍。当父母有ADHD和对父母福祉的影响很小时，CAU的其他局限性降低。基于谨慎的干预措施（MBIS）是一种新兴的非药理学方法，具有改善儿童和父母的自我控制和福祉。然而，缺乏足够动力的随机对照试验（RCT），以在adahd的家庭中建立它们的作用。本研究议定书描述了一个RCT，调查家庭MBI作为CAU的附加型与ADHD治疗青年的效果，并根据标准议定书项描述：介入试验（精神）的建议。 RCT将在N？=？100名儿童（8-16岁？年龄）进行，与ADHD及其父母。实验条件将包括一个家庭MBI（MyMind）：8周的基于团体的MBI，用于青年与他们父母的并行团体的一般育儿，作为CAU的加载项。控制条件仅包括CAU。评估将在基线进行，治疗结束（3个月），2和6个月的后续行动。主要成果措施将是对儿童自我控制的生态有效评估，以及执行职能的父母额定行为评级库存（简介）。继发儿童结果措施将是教师额定的简要介绍，计算机化的自我控制任务和问卷对心理症状（例如ADHD，自闭症症状），福祉和谨慎。对于父母成果来说，次要措施将是自我评价的简短，计算机化的自我控制任务和问卷调查，对心理症状，幸福和谨慎的育儿。拟议的RCT将考虑到儿童ADHD人口中以前研究的方法局限性。目前的研究将为家庭MBI提供有价值的信息，作为针对与ADHD及其父母的青年的自我控制赤字的潜在有效干预。 ClinicalTrials.gov NCT03220308。回顾性2017年7月18日注册。

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